PMID- 34943712 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211228 IS - 2079-6382 (Print) IS - 2079-6382 (Electronic) IS - 2079-6382 (Linking) VI - 10 IP - 12 DP - 2021 Dec 7 TI - Influence of Nisin-Biogel at Subinhibitory Concentrations on Virulence Expression in Staphylococcus aureus Isolates from Diabetic Foot Infections. LID - 10.3390/antibiotics10121501 [doi] LID - 1501 AB - A new approach to diabetic foot infections (DFIs) has been investigated, using a nisin-biogel combining the antimicrobial peptide (AMP) nisin with the natural polysaccharide guar-gum. Since in in vivo conditions bacteria may be exposed to decreased antimicrobial concentrations, known as subinhibitory concentrations (sub-MICs), effects of nisin-biogel sub-MIC values corresponding to 1/2, 1/4 and 1/8 of nisin's minimum inhibitory concentration (MIC) on virulence expression by six Staphylococcus aureus DFI isolates was evaluated by determining bacteria growth rate; expression of genes encoding for staphylococcal protein A (spA), coagulase (coa), clumping factor A (clfA), autolysin (atl), intracellular adhesin A (icaA), intracellular adhesin D (icaD), and the accessory gene regulator I (agrI); biofilm formation; Coa production; and SpA release. Nisin-biogel sub-MICs decreased bacterial growth in a strain- and dose-dependent manner, decreased agrI, atl and clfA expression, and increased spA, coa, icaA and icaD expression. Biofilm formation increased in the presence of nisin-biogel at 1/4 and 1/8 MIC, whereas 1/2 MIC had no effect. Finally, nisin-biogel at sub-MICs did not affect coagulase production, but decreased SpA production in a dose-dependent manner. Results highlight the importance of optimizing nisin-biogel doses before proceeding to in vivo trials, to reduce the risk of virulence factor's up-regulation due to the presence of inappropriate antimicrobial concentrations. FAU - Jesus, Carolina AU - Jesus C AUID- ORCID: 0000-0001-8500-8295 AD - CIISA-Centro de Investigacao Interdisciplinar em Sanidade Animal, Faculdade de Medicina Veterinaria, Universidade de Lisboa, Avenida da Universidade Tecnica, 1300-477 Lisboa, Portugal. FAU - Soares, Rui AU - Soares R AUID- ORCID: 0000-0001-6573-5292 AD - CIISA-Centro de Investigacao Interdisciplinar em Sanidade Animal, Faculdade de Medicina Veterinaria, Universidade de Lisboa, Avenida da Universidade Tecnica, 1300-477 Lisboa, Portugal. FAU - Cunha, Eva AU - Cunha E AUID- ORCID: 0000-0002-5641-4400 AD - CIISA-Centro de Investigacao Interdisciplinar em Sanidade Animal, Faculdade de Medicina Veterinaria, Universidade de Lisboa, Avenida da Universidade Tecnica, 1300-477 Lisboa, Portugal. FAU - Grilo, Miguel AU - Grilo M AD - CIISA-Centro de Investigacao Interdisciplinar em Sanidade Animal, Faculdade de Medicina Veterinaria, Universidade de Lisboa, Avenida da Universidade Tecnica, 1300-477 Lisboa, Portugal. FAU - Tavares, Luis AU - Tavares L AD - CIISA-Centro de Investigacao Interdisciplinar em Sanidade Animal, Faculdade de Medicina Veterinaria, Universidade de Lisboa, Avenida da Universidade Tecnica, 1300-477 Lisboa, Portugal. FAU - Oliveira, Manuela AU - Oliveira M AUID- ORCID: 0000-0002-3910-1525 AD - CIISA-Centro de Investigacao Interdisciplinar em Sanidade Animal, Faculdade de Medicina Veterinaria, Universidade de Lisboa, Avenida da Universidade Tecnica, 1300-477 Lisboa, Portugal. LA - eng GR - PTDC/SAU-INF/28466/2017/Fundacao para a Ciencia e Tecnologia/ GR - SFRH/BD/131384/2017/Fundacao para a Ciencia e Tecnologia/ GR - C10571K/University of Lisbon/ PT - Journal Article DEP - 20211207 PL - Switzerland TA - Antibiotics (Basel) JT - Antibiotics (Basel, Switzerland) JID - 101637404 PMC - PMC8698857 OTO - NOTNLM OT - Staphylococcus aureus OT - biofilm OT - diabetic foot infections OT - subinhibitory concentrations OT - virulence-related genes COIS- The authors declare no conflict of interest. EDAT- 2021/12/25 06:00 MHDA- 2021/12/25 06:01 PMCR- 2021/12/07 CRDT- 2021/12/24 01:03 PHST- 2021/11/07 00:00 [received] PHST- 2021/12/02 00:00 [revised] PHST- 2021/12/03 00:00 [accepted] PHST- 2021/12/24 01:03 [entrez] PHST- 2021/12/25 06:00 [pubmed] PHST- 2021/12/25 06:01 [medline] PHST- 2021/12/07 00:00 [pmc-release] AID - antibiotics10121501 [pii] AID - antibiotics-10-01501 [pii] AID - 10.3390/antibiotics10121501 [doi] PST - epublish SO - Antibiotics (Basel). 2021 Dec 7;10(12):1501. doi: 10.3390/antibiotics10121501.